Individual provider · Type 1 NPI

Michelle Renee Ponselle-Mays, MS, OTR/L

Occupational Therapist · Fox Lake, IL

NPI number 1730348020 Active

Practice location

498 S Route 12, Suite C
Fox Lake, IL 60020-1908

Fax (847) 587-3346

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056008351 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1730348020

Michelle Renee Ponselle-Mays, MS, OTR/L's National Provider Identifier is 1730348020, issued on Jun 3, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fox Lake, IL. The record was last updated on Jun 16, 2008.